October 31st, 2014

Click here to begin reading
your complementary article

A Note from the Editor-in-Chief
Authors:  Lawrence D. Devoe, M.D.
  Welcome to the November-December 2012 Editor-in-Chief’s page. We are focusing on several articles in this issue that will be of interest to obstetricians and gynecologists.
In This Issue:

• Cancer-related Maternal Mortality: Findings from the State of Hawaii
K. Y. Terada, S. A. Harvey, J. Davis and J. Burlingame

Does pregnancy influence survivorship of patients with cancer? Because only 1 in 1,000 pregnant women will develop malignancies, this has been a challenging question that requires the survey of very large populations. The authors have examined death certificates over a 16-year period in Hawaii and included women who died from cancer within 1 year of a live birth. Also examined were the types of malignancies in those patients, who were then compared to reproductive-aged nonpregnant controls. Of interest is their finding that 2 types of cancer, leukemia and primary brain malignancy, had a significantly increased risk of mortality while mortality was lower for genital tract malignancies when occurring in pregnancy. While death certificates cannot explain such findings, these observations could help in the counseling of women who are pregnant or contemplating pregnancy with these higher-risk malignancies.
  Acrobat Reader 7.0 is recommended to properly view and print the article.
Reader can be downloaded from